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ORAL
LICHEN
PLANUS
MOJTABA GHADAMI
Medical university of ilam
ORAL
LICHEN
PLANUS
????????? ??????????? ???????
??????:???????? ? ??????? ? ???????????C???? ?????? ??????? ???
?????? ???? ??????? ???? ?????? ???? ??? ?????? ????.
??????? ???? ?????? ????????? ?????? ????? ???????????? ???? ??????.
????? ??????? ???????????????? ?????? ??? ?????????????? ???????????? ????????.
??????? ???? ???? ??????? ????????????????????? ???????.
??????? ???? ??????? ?????? ??????? ????? ??????? ?????? ???? ?????????? ????? ???????? ???
????????????? ??????
????? ???? ????? ??????? ?????? ?????? ????? ???? ??????????????? ?????????????? ????????.
??????:0/5 ¨C 2/2%
????? ?????? ??????? ???? ??????? ?????? ????.
??????? ?????? ???? ???? ???????55?????
clinical
appearance
Presents with various manifestation such as
? Reticular
? Papular
? Plaque
? Atrophic
? Ulcerative
? Bullous
?????? ?????? ??????OLP
???????????????? ??????
????? ????? ?????? ?????? ?????? ?????????????????? ??????
?????.
???????? ??????? ???? ???????? ????????????????????????? ???? ?????
????? ?????????? ???????? ???????.
????? ?????? ???? ??? ??????? ?????? ???? ?????? ???? ?????? ???? ???????
???? ???? ??????? ??????
Oral lichen planus
Oral lichen planus
PAPULAR
????? ???? ???????????????? ??????? ????????? ??????.
??????? ???? ???????? ????? ????????? ?????? ?????? ??????
?????? ??????? ??????? ?????? ???????????????????.
PLAQUE ???????? ????? ?????? ?????? ?????????? ??????? ????
???????? ???????? ?????? ???????????? ?????
???????? ????????? ????? ??????????? ???????????? ?????????????
????? ????? ???????:??? ????? ???? ?????????? ??? ????????? ????? ???????? ???????? ???????????
???????
???????? ???? ??????????????????? ???? ??????
??????? ????? ???? ??????? ??? ????? ???? ???????? ?????? ??????? ????? ??????? ???????? ??????
?????
?OLP???? ??????? ????????? ??????? ??????SCC?????? ????.
BULLOUS
??????????????? ????????? ??????? ???????? ?????? ???? ??? ?????
???? ???? ?????? ????? ????? ??????? ????????? ???????? ?????????
.
ATROPHIC ??????????????? ??????
?????? ?????? ????? ???? ?????? ?????? ???? ???? ??????????????????
????? ???? ?????? ???? ???????.
?????????? ?????? ????????? ?????? ???????????? ?????????? ????????
????? ????.
??????? ???? ??? ????? ???? ???????? ???? ??????? ?????? ????? ??????
???????????? ?????????????? ??????.
????? ???? ??????? ?????? ???????????????? ???????? ????????????
????? ???????? ??????.
?????? ?????? ??????? ????????OLP
??????? ???? ???????????????? ???? ????? ???????? ????? ???????? ?????? ???? ????????
????????? ???????? ??? ????? ??????? ??????????? ????????????? ???????????? ????
????? ???? ?????? ???? ??????? ???? ????? ??????.
?????? ??????? ???? ?????? ??????? ???? ??????? ??????????? ????? ??????? ????? ????? ????
????? ???? ??????? ???????.
?????????
????????
????? ???????? ??????? ????????15?????????? ??????? ??????? ????OLP????? ???? ??????.
??????? ??????? ???????? ????? ???????? ??????:?????? ???? ?????? ????? ???????
???? ?????? ??? ????? ???????? ???? ??????? ??? ?????? ?????? ???? ????? ???? ????? ??????
?????? ???? ???? ??? ???? ?????? ???????.
???????? ??? ????? ????? ???? ???? ???? ??????? ????? ???? ???? ????? ?????? ???? ???????
??????????????.
???? ??????? ??????? ???????? ?????? ????????? ???? ???? ????? ?????? ?????????
??? ?????? ???????? ??????? ???? ?????? ????? ?????? ??????? ????? ???????? ??????????? ???
????KOEBNER?????????.
?????? ???? ??????? ???? ??????? ?????? ?????? ?????? ?????????????? ???????????.
????????20???? ??????? ???? ??????OLP?????? ???? ??????? ????? ???????? ????? ???? ??????????
?????? ???????????????? ???????? ??? ????????? ????????????? ?????????? ??????
????? ???? ?????? ??????????? ??? ??????????? ????? ???? ??????? ?????????.
DIAGNOSIS
??????????? ??????? ???? ???? ?????????? ?????? ??????? ??????? ???? ???????????
??????? ???????
???? ??????? ?????? ?????? ????? ??????????? ???????? ???? ?????????? ???????????? ????
????? ??????.?????? ??????????????????????? ??????.
?OLP???? ?????? ???????? ??????????????? ????? ???????(LCRS)??????
???? ???????? ???? ??????? ????? ?????? ?????? ????? ???????????? ?????? ????
???? ?????? ???? ?????? ???? ?????? ?????? ??? ??????? ??? ?????? ?????? ?????
OLP?????? ????? ???????? ????????.
?GVHD??????????? ??????? ??????OLP?????? ?????????? ????? ??????
????? ??????? ???????? ???????.
????????? ????? ??????? ?????? ???? ?????? ??????????? ????? ???????? ????
?????? ??????? ?????? ???????? ??? ?????? ?????????? ????????.
??????????? ??????????? ?????????? ?????? ????????? ????????????
??????? ???? ??????? ??????? ????? ??????OLP?????.
????? ??????? ?????????DLE? ?????? ???? ???????? ????? ????? ????
????? ?????? ?????????????????????? ???????????????????? ???
?????? ???? ????? ??????? ???? ???? ???????.
?OLP????? ??????????? ??????? ???????????? ??????? ????? ?????????
??? ????????? ????? ?????? ??????? ???????????? ????? ????? ????
????? ??????????.
?OLP??????? ???????? ????????? ????? ???? ????????????????????????
?????? ??????? ??????.?????????? ??????????? ???????? ??????????
???? ????? ??????? ??????? ?????? ???? ???? ?????? ??????? ???? ??????
??????? ???? ???? ???? ???????????????????? ???? ??????.
PATHOLOGY
?????? ??????? ???? ????? ?????? ????? ????????? ??????? ??????
???????????(OLP-LCR-??? ???????? ??????????? ????? ???????
???? ???????? ???? ??????????? ????? ???????GVHD)???????
???????.
??????? ???????????????? ??????????????? ????????????????
??? ?????? ??????????? ??????? ?????? ??????? ?????? ????? ????????
??????? ????.????? ?????? ???????? ?????? ???? ???????? ????? ?????
??????????? ??????? ???????? ?????? ???? ????????.
????????????????? ??????OLP????? ????? ????? ????:
.1????????????????????????? ???? ??????????????????
.2?????? ?????????????????? ?????? ????? ?????? ??????? ????
.3?????????????????? ???????????? ?????? ????? ???? ??????
??? ???? ??????? ?????? ???????? ????? ????? ???????? ??????????????????????
????? ???????? ???????? ???? ????? ???? ?????????? ??? ????.
????? ?????? ????? ?????? ????? ????????? ??? ?????? ?????? ??????
Oral lichen planus
&
TREATMENT
???????????OLP????? ?????? ??????? ?????????? ????? ?????????????
??????? ?????? ??????????? ????? ???????.
???????? ???? ?????? ???????? ????? ?????????? ?????? ???? ????? ????
????? ??????? ????? ???? ??????.
? Steroids
¨C Betamethasone
¨C Clobetasol
¨C Dexamethasone
¨C Triamcinolone
? Calcineurin inhibitors
¨C Tacrolimus
¨C Cyclosporin
¨C Pimecrolimus
? Retinoids
? Photo chemotherapy
? Newer traditional medicine ¨C Aloe Vera
Oral lichen planus

More Related Content

Oral lichen planus

  • 2. ORAL LICHEN PLANUS ????????? ??????????? ??????? ??????:???????? ? ??????? ? ???????????C???? ?????? ??????? ??? ?????? ???? ??????? ???? ?????? ???? ??? ?????? ????. ??????? ???? ?????? ????????? ?????? ????? ???????????? ???? ??????. ????? ??????? ???????????????? ?????? ??? ?????????????? ???????????? ????????. ??????? ???? ???? ??????? ????????????????????? ???????. ??????? ???? ??????? ?????? ??????? ????? ??????? ?????? ???? ?????????? ????? ???????? ??? ????????????? ?????? ????? ???? ????? ??????? ?????? ?????? ????? ???? ??????????????? ?????????????? ????????.
  • 3. ??????:0/5 ¨C 2/2% ????? ?????? ??????? ???? ??????? ?????? ????. ??????? ?????? ???? ???? ???????55?????
  • 4. clinical appearance Presents with various manifestation such as ? Reticular ? Papular ? Plaque ? Atrophic ? Ulcerative ? Bullous
  • 5. ?????? ?????? ??????OLP ???????????????? ?????? ????? ????? ?????? ?????? ?????? ?????????????????? ?????? ?????. ???????? ??????? ???? ???????? ????????????????????????? ???? ????? ????? ?????????? ???????? ???????. ????? ?????? ???? ??? ??????? ?????? ???? ?????? ???? ?????? ???? ??????? ???? ???? ??????? ??????
  • 8. PAPULAR ????? ???? ???????????????? ??????? ????????? ??????. ??????? ???? ???????? ????? ????????? ?????? ?????? ?????? ?????? ??????? ??????? ?????? ???????????????????.
  • 9. PLAQUE ???????? ????? ?????? ?????? ?????????? ??????? ???? ???????? ???????? ?????? ???????????? ????? ???????? ????????? ????? ??????????? ???????????? ????????????? ????? ????? ???????:??? ????? ???? ?????????? ??? ????????? ????? ???????? ???????? ??????????? ??????? ???????? ???? ??????????????????? ???? ?????? ??????? ????? ???? ??????? ??? ????? ???? ???????? ?????? ??????? ????? ??????? ???????? ?????? ????? ?OLP???? ??????? ????????? ??????? ??????SCC?????? ????.
  • 10. BULLOUS ??????????????? ????????? ??????? ???????? ?????? ???? ??? ????? ???? ???? ?????? ????? ????? ??????? ????????? ???????? ????????? .
  • 11. ATROPHIC ??????????????? ?????? ?????? ?????? ????? ???? ?????? ?????? ???? ???? ?????????????????? ????? ???? ?????? ???? ???????. ?????????? ?????? ????????? ?????? ???????????? ?????????? ???????? ????? ????. ??????? ???? ??? ????? ???? ???????? ???? ??????? ?????? ????? ?????? ???????????? ?????????????? ??????. ????? ???? ??????? ?????? ???????????????? ???????? ???????????? ????? ???????? ??????.
  • 12. ?????? ?????? ??????? ????????OLP ??????? ???? ???????????????? ???? ????? ???????? ????? ???????? ?????? ???? ???????? ????????? ???????? ??? ????? ??????? ??????????? ????????????? ???????????? ???? ????? ???? ?????? ???? ??????? ???? ????? ??????. ?????? ??????? ???? ?????? ??????? ???? ??????? ??????????? ????? ??????? ????? ????? ???? ????? ???? ??????? ???????.
  • 13. ????????? ???????? ????? ???????? ??????? ????????15?????????? ??????? ??????? ????OLP????? ???? ??????. ??????? ??????? ???????? ????? ???????? ??????:?????? ???? ?????? ????? ??????? ???? ?????? ??? ????? ???????? ???? ??????? ??? ?????? ?????? ???? ????? ???? ????? ?????? ?????? ???? ???? ??? ???? ?????? ???????. ???????? ??? ????? ????? ???? ???? ???? ??????? ????? ???? ???? ????? ?????? ???? ??????? ??????????????. ???? ??????? ??????? ???????? ?????? ????????? ???? ???? ????? ?????? ????????? ??? ?????? ???????? ??????? ???? ?????? ????? ?????? ??????? ????? ???????? ??????????? ??? ????KOEBNER?????????. ?????? ???? ??????? ???? ??????? ?????? ?????? ?????? ?????????????? ???????????. ????????20???? ??????? ???? ??????OLP?????? ???? ??????? ????? ???????? ????? ???? ?????????? ?????? ???????????????? ???????? ??? ????????? ????????????? ?????????? ?????? ????? ???? ?????? ??????????? ??? ??????????? ????? ???? ??????? ?????????.
  • 14. DIAGNOSIS ??????????? ??????? ???? ???? ?????????? ?????? ??????? ??????? ???? ??????????? ??????? ??????? ???? ??????? ?????? ?????? ????? ??????????? ???????? ???? ?????????? ???????????? ???? ????? ??????.?????? ??????????????????????? ??????. ?OLP???? ?????? ???????? ??????????????? ????? ???????(LCRS)?????? ???? ???????? ???? ??????? ????? ?????? ?????? ????? ???????????? ?????? ???? ???? ?????? ???? ?????? ???? ?????? ?????? ??? ??????? ??? ?????? ?????? ????? OLP?????? ????? ???????? ????????. ?GVHD??????????? ??????? ??????OLP?????? ?????????? ????? ?????? ????? ??????? ???????? ???????. ????????? ????? ??????? ?????? ???? ?????? ??????????? ????? ???????? ???? ?????? ??????? ?????? ???????? ??? ?????? ?????????? ????????.
  • 15. ??????????? ??????????? ?????????? ?????? ????????? ???????????? ??????? ???? ??????? ??????? ????? ??????OLP?????. ????? ??????? ?????????DLE? ?????? ???? ???????? ????? ????? ???? ????? ?????? ?????????????????????? ???????????????????? ??? ?????? ???? ????? ??????? ???? ???? ???????. ?OLP????? ??????????? ??????? ???????????? ??????? ????? ????????? ??? ????????? ????? ?????? ??????? ???????????? ????? ????? ???? ????? ??????????. ?OLP??????? ???????? ????????? ????? ???? ???????????????????????? ?????? ??????? ??????.?????????? ??????????? ???????? ?????????? ???? ????? ??????? ??????? ?????? ???? ???? ?????? ??????? ???? ?????? ??????? ???? ???? ???? ???????????????????? ???? ??????.
  • 16. PATHOLOGY ?????? ??????? ???? ????? ?????? ????? ????????? ??????? ?????? ???????????(OLP-LCR-??? ???????? ??????????? ????? ??????? ???? ???????? ???? ??????????? ????? ???????GVHD)??????? ???????. ??????? ???????????????? ??????????????? ???????????????? ??? ?????? ??????????? ??????? ?????? ??????? ?????? ????? ???????? ??????? ????.????? ?????? ???????? ?????? ???? ???????? ????? ????? ??????????? ??????? ???????? ?????? ???? ????????.
  • 17. ????????????????? ??????OLP????? ????? ????? ????: .1????????????????????????? ???? ?????????????????? .2?????? ?????????????????? ?????? ????? ?????? ??????? ???? .3?????????????????? ???????????? ?????? ????? ???? ?????? ??? ???? ??????? ?????? ???????? ????? ????? ???????? ?????????????????????? ????? ???????? ???????? ???? ????? ???? ?????????? ??? ????. ????? ?????? ????? ?????? ????? ????????? ??? ?????? ?????? ??????
  • 19. & TREATMENT ???????????OLP????? ?????? ??????? ?????????? ????? ????????????? ??????? ?????? ??????????? ????? ???????. ???????? ???? ?????? ???????? ????? ?????????? ?????? ???? ????? ???? ????? ??????? ????? ???? ??????.
  • 20. ? Steroids ¨C Betamethasone ¨C Clobetasol ¨C Dexamethasone ¨C Triamcinolone ? Calcineurin inhibitors ¨C Tacrolimus ¨C Cyclosporin ¨C Pimecrolimus ? Retinoids ? Photo chemotherapy ? Newer traditional medicine ¨C Aloe Vera